02 August 2018

IntraHealth International

2018

IntraHealth International’s commitment in 2012 to FP2020 in support of Every Woman Every Child, was rolled-over until 2020 to help advance the Updated Global Strategy for Women’s, Children’s and Adolescents’ Health (2016-2030). 

To support the achievement of FP2020 goals, IntraHealth commits to applying its technical, programmatic, measurement, and advocacy resources and expertise to expanding equitable access to an increased number of frontline health workers. Specifically, it pledges to deliver quality family planning services and products globally and in 20 FP2020 priority countries, including by playing a leadership role in the nine Ouagadougou Partnership Francophone West African countries where IntraHealth serves as the Secretariat. IntraHealth plans to sustain and grow its family planning programs in the Democratic Republic of Congo, Ethiopia, India, Kenya, Liberia, Nigeria, Palestine, Tanzania, South Sudan, Uganda, and Zambia.

IntraHealth commits to reaching 315,000 health workers annually by 2020 with education, skills building, and supervisory, management, and policy support. The organization will build on its programs and partnerships in both the private and public sectors to ensure that health workers at the front line are prepared to be catalysts of change. IntraHealth will also leverage the use of new and proven digital health technologies to improve health worker performance, service quality, and health outcomes and to spur innovation in how health workers are trained, incentivized, and managed, primarily through deployment of our suite of open-source human resource information systems strengthening tools and approaches, iHRIS.

IntraHealth will advocate globally, nationally, and at decentralized levels for the critical policy reforms necessary to expand access to modern contraception. IntraHealth’s focus will include:

  • Task-shifting, especially for long-acting family planning methods and Sayana Press;
  • The critical role of community health workers;
  • The importance of meeting the growing sexual and reproductive health needs of adolescents; and
  • Augmenting male engagement.

More information about this commitment to FP2020 can be found here.

Commitment Progress

Health workers and systems are central to improving the accessibility and quality of health services for women, children, and adolescents. In 2016, IntraHealth re-committed to reaching 315,000 health workers annually by 2020 with education, skills-building, and supervisory, management, and policy support. In 2018, Intrahealth reached more than 340,000 health workers. Between September 2015 & December 2018, IntraHealth was active in 54 countries and collaborated with more than 43,000 ministries of health, health facilities, youth and civil society organizations, and other local partners. This work contributed to 713,854 new users of modern contraception and 2,208,910 couple years of protection, averting 773,119 unintended pregnancies and 272,323 unsafe abortions. IntraHealth leads and participates in partnerships from the community to the global level that are mobilizing resources, sharing information and best practices, and developing sexual and reproductive health and rights advocates who are holding their governments accountable to fulfill their family planning (FP), youth, and maternal and child health commitments. IntraHealth also made progress toward its commitment of contributing to doubling West Africa’s contraceptive prevalence rate by 2020. This includes serving as the francophone West African hub for the urban-focused Challenge Initiative and leading the Ouagadougou Partnership Coordination Unit. The Partnership is on track to reach its FP2020 goal of 2.2 million additional FP users in the region between 2016-2020. In 2018, IntraHealth worked in 43 countries to enable health workers to provide quality family planning and reproductive health (FP/RH) services and to build strong, resilient health systems. IntraHealth conducted more than 26,000 health worker trainings, including training 4,150 workers to improve FP/RH services for underserved and vulnerable populations; provided 1,686,178 clients with HIV counseling, tests, and results; helped more than 32,000 health centers provide services that meet national standards; and partnered with more than 750 youth associations. IntraHealth helped countries to: integrate FP/RH services into other health services; strengthen their supply chains and expand method choice; implement mentorship and supportive supervision to improve health worker performance; and improve community-based distribution of contraceptives. In 2018, IntraHealth’s programs directly contributed to 377,513 new users of modern contraception and 682,440 couple years of protection—averting 290,463 unwanted pregnancies, 76,834 unsafe abortions, 5,853 child deaths, and 546 maternal deaths. In East Africa, IntraHealth launched the USAID-funded Ingobyi activity, an integrated project to increase equitable access to quality reproductive, maternal, newborn, and child health services across Rwanda. In West Africa IntraHealth led the Coordination Unit for the Ouagadougou Partnership, whose nine countries reached 448,000 new users of modern contraception in 2018. IntraHealth engaged civil society and worked with mayors through the Challenge Initiative to mobilize resources and scale up FP best practices. IntraHealth also began two new projects in the region: the USAID-funded Mali Girls Leadership and Empowerment through Education program, and the INSPiRE project, funded by the Bill & Melinda Gates Foundation to improve nutrition and reproductive, maternal, newborn, and child health in Ouagadougou Partnership countries.

 

2017

Commitment Progress

In 2017 alone, IntraHealth reached more than 400,000 health workers. IntraHealth’s efforts contributed to 276,098 new users of modern contraception and more than 572,545 couple years of protection (allowing 173,357 unwanted pregnancies and 55,247 unsafe abortions to be averted).

POLICY & POLITICAL UPDATES
In June 2017, the 18th Assembly of Health Ministers of the Economic Community of West African States (ECOWAS) adopted a resolution to promote task-shifting in FP/RH programs. The resolution calls on ECOWAS member states to mainstream the principle of task-shifting into national human resources for health strategies, to integrate CHWs into national health systems, and to scale-up task-shifting to build stronger, more resilient health systems. IntraHealth, through its leadership of the Ouagadougou Partnership, played a key role in coordinating planning meetings and building country-level support for the resolution. The OP’s regional commitment to FP2020 includes a pledge to “implement and/or scale up promising strategies for task-shifting for long-term and permanent methods, injectables, introduction of contraceptive pills, etc., with a view to strengthen community-based Family Planning services delivery through a full range of modern contraceptive methods.”

PROGRAM & SERVICE DELIVERY UPDATES
IntraHealth continues to make significant progress in its commitment of contributing to doubling West Africa’s regional (average of national) contraceptive prevalence rate by 2020, primarily through its programs throughout Francophone West Africa. In 2011, nine francophone West African countries and partners formed the Ouagadougou Partnership to change the story of family planning in the region. IntraHealth has led the Ouagadougou Partnership Coordination Unit since its establishment in 2012. An additional 1.18 million women are using modern contraceptives today (making it one of the few regions of the world on-track to meet its FP2020 goal); the partnership seeks to reach at least 2.2 million additional family planning users by 2020.
In Senegal, IntraHealth has contributed significantly to rapid increase in CPR. In only three years, the contraceptive prevalence increased from 10% to 16%, what the World Bank called “a very rare achievement.” Thanks to IntraHealth’s informed push model for supply chain management, the stockout rates for health facilities throughout the country fell to only 2% in 2017. We have partnered with imams, journalists, and civil society members (who have since visited 14,000+ households) in Senegal to dispel myths around FP and make services more widely available. IntraHealth has made Sayana Press available to the poorest women in Senegal at low- or no-cost. The contraceptive’s novel delivery system eliminates the need to prepare a needle and syringe, which means it can be administered by health workers or by users at home. We also have encouraged policy changes in Senegal that help more people access FP services and advocated for long-lasting financial and political support for family planning. In addition, we have strengthened family planning services in 30 private companies and service delivery points in Senegal, and helped make long-acting family planning methods—previously offered only in hospitals and health centers—available in health posts.
IntraHealth has continued to support the integration of FP services into other services. In Mali, where IntraHealth has helped train 105 surgeons and other health workers, we continue to integrate FP services post-fistula repair. Our work in Senegal includes successes in integrating FP into immunization and other child health services.
Regionally, IntraHealth continues to support advocacy for FP on the part of civil society, including mayors and other local leaders and youth. Since 2011, IntraHealth has been working through the Hewlett Foundation and Dutch government-supported Strengthening Civil Society for Family Planning in West Africa Project to establish solid partnerships between governments and civil society groups to help promote the benefits of family planning in a region where use of FP remains low, to hold governments accountable for their public FP commitments, and to advocate for the technical support and resources the countries need to meet their family planning goals. The project works in Benin, Burkina Faso, Mali, Niger, and Senegal. Civil society organizations in West Africa have achieved successes in areas such as promoting literacy and reducing stigma surrounding HIV/AIDS, but FP has not historically been high on their agendas. By working with civil society groups and community leaders, the project aims to increase the use and accessibility of FP services for women, families, and youth, and ultimately improve maternal, newborn, adolescent and child health. The project is developing family planning advocates among religious leaders and has trained 272 youth ambassadors and 24 adult mentors, and has also oriented 55 journalists to FP coverage of FP issues. The project has also trained coalition members in how to use social media, video production, and technology to share positive messages about FP. At an inter-country meeting more than 100 government, civil society, and key stakeholder representatives from francophone West Africa came together to share how they have engaged civil society in the repositioning of family planning and the progress their countries have made on national FP action plans.
Through its leadership of The Challenge Initiative Francophone West Africa hub, funded by the Bill & Melinda Gates Foundation, IntraHealth has trained 100 mayors in family planning/maternal and child health. During the initial phase of grantmaking to municipalities, four cities received grants, supporting nearly 50,000 new users of modern contraception. In these cities, mayors mobilized more than $730,000 in addition to their TCI grants.

2012—London Family Planning Summit

IntraHealth International commits to advocating for and expanding access to an increased number of skilled frontline health workers delivering quality family planning services in West Africa, building on its global commitment to ensuring health workers are present, ready, connected and safe. IntraHealth International commits to contributing to doubling West Africa’s regional average contraceptive prevalence rate by 2020 – leveraging new and existing programs and partnerships with governments, donors, civil society and the private sector to: expand use of mobile technologies to increase health workers’ access to accurate, up-to-date information on family planning and reproductive health services; foster greater integration of family planning with HIV/AIDS services and maternal, newborn and child health care; collaborate with regional and national accrediting agencies and professional associations to ensure that pre-service and in-service training curricula include state-of-the-art information on methods, services and behavior change; encourage greater involvement and support of male partners for the successful use of contraceptive methods and family planning and reproductive health services; support increased engagement and leadership of civil society and young people to promote healthy reproductive health behaviors, including greater social and cultural acceptability of family planning; and advocate for increased political support and investment in family planning by government partners.

2010

IntraHealth International commits by striving for ways to offer an integrated package of services for women and their families that addresses their most relevant health needs, continue to support increased capacity of the health workforce, support improvements – large and small – within the health systems and supports high quality, evidence-based and integrated services that can be offered at multiple levels of the system, with a focus on ensuring that services come closer to the communities where the world’s population lives and where the majority of deaths of women and newborns occur.

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